Organization · Type 2 NPI
Samuel Walters D.o.,p.a.
Primary Care Clinic/Center · Jacksonville, FL
NPI number
1285966499
Active
Practice location
6531 103rd St
Jacksonville, FL 32210-7131
Fax (904) 772-1693
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | OS8337 (FL) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1285966499
Samuel Walters D.o.,p.a.'s National Provider Identifier is 1285966499, issued on Feb 12, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 3, 2010.